HomeMy WebLinkAbout221886 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 365410 Page 1 of 1
0 ~� ONE CIVIC SQUARE BRIAN BALLARD
CARMEL, INDIANA 46032 28 W.EVENING ROSE WAY CHECK AMOUNT: $331.00
•. ;o� WESTFIELD IN 46074 CHECK NUMBER: 221886
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 331 . 00 ORGANIZATION & MEMBER
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CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: DEPARTURE DATE: (o /S TIME: AM/PM
DEPARTMENT: /XO RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging T;oEal
Air-fare Car Rental --it- per Parking Breakfast Lunch Dinner Snacks Per Diem
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DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: i�;z Date: �o�'/.J
City of Carmel Form#ER06 Revision Date'10/17/2006 Page 1
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MESSENGER
APPLICATIONS--- I
June 30,2013 j
Approaching H you don't I Member Number:27392746
Obama speak
scandal could Spanish(and
bring shame to you want to) } Dear Brian S.Ballard,PGA,
the White you should
'Noise not +' f Thank you for payment of your PGA
cmn e6rn mh; fota Our records indicate that you paid: •L
055 Member Sectional Dues$175.00` r
Member National Dues $100.00 '
Life Insurance Premium $26.00
Liability Insurance Premium $30.00
Total $331.00
i Sincerely,
Membership Services
The PGA of America ,
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Brian Ballard
IN SUM OF $
5863 Scott-Ian Court
Indianapolis, IN 46254
$331.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I BallardPGADUE I 43-553.00 I $331.00 1 hereby certify that the attached invoice(s), or
c�n�z
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, July 02, 2013
Director, Brook i e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/30/13 illardPGADUES20 Dues $331.00
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer